Individual provider Active NPI

Alexandria Marie Leduc, MD

  • MOHS-Micrographic Surgery Physician
  • Placerville, CA
National Provider Identifier
1477180982
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A194957 Issued in CA
Practice address
3105 Cedar Ravine Rd
Placerville, CA 95667-6561
Phone
(925) 786-0738
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A194957 CA Primary
Dermatology Physician 207N00000X A194957 CA

Addresses

Primary practice location

3105 Cedar Ravine Rd
Placerville, CA 95667-6561

Mailing address

3105 Cedar Ravine Rd
Placerville, CA 95667-6561
Phone (925) 786-0738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123002235 CA Practitioner - Dermatology 1052713435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berman Skin Institute Medical Group IncGroup PAC ID 0042407215, 26 clinicians

Practice addresses (Care Compare)

3105 Cedar Ravine Rd
Suite 201
Placerville, CA 95667-6561
Phone (530) 626-1602

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision135
Removal of skin lesions978
Removal of skin cancer356
Removal or shaving of skin growth1-10
Skin biopsy308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A194957CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 21, 2024 Accepting new patients
Berman Skin Institute Medical Group Inc Dermatology CurrentSince Jul 30, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 21, 2024 Accepting new patients
University Dermatopathology Services Inc PastSince Nov 10, 2024 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

3581 Palmer Dr
Ste 203
Cameron Park, CA 95682
Phone (530) 676-0119

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

3105 Cedar Ravine Rd
Ste 201
Placerville, CA 95667
Phone (530) 295-9490

5575 W Las Positas Blvd
Ste 220
Pleasanton, CA 94588
Phone (650) 325-6000

1792 Tribute Rd
Ste 200
Sacramento, CA 95815
Phone (916) 678-5400

1 Daniel Burnham Ct
Ste 350C
San Francisco, CA 94109
Phone (415) 771-6300

100 Pringle Ave
Ste 425
Walnut Creek, CA 94596
Phone (925) 932-3800

1166 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 751-1500

Interoperability endpoints

  • Direct secure messaging: ariopelle@directaddress.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1477180982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 CEDAR RAVINE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676561",
            "telephone_number": "925-786-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 CEDAR RAVINE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676561",
            "telephone_number": "925-786-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDUC",
        "first_name": "ALEXANDRIA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A194957",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A194957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.